Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.28 / $735.28 / $735.28	Facility		$735.28	$735.28	$735.28
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $551.46 / $551.46 / $551.46	Facility	54	$551.46	$551.46	$551.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $603.22 / $917.77 / $1,832.08	Facility		$603.22	$917.77	$1,832.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,294.58 / $1,608.81 / $2,091.92	Facility		$1,294.58	$1,608.81	$2,091.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $748.87 / $1,129.49 / $1,328.73	Professional		$748.87	$1,129.49	$1,328.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00